Anesthetic management of laparoscopic adrenalectomy for pheochromocytoma.
- Author:
Xue-rong YU
1
;
Xiang-yang GUO
;
Ai-lun LUO
;
Han-zhong LI
Author Information
- Publication Type:Journal Article
- MeSH: Adrenal Gland Neoplasms; physiopathology; surgery; Adrenalectomy; methods; Adult; Anesthesia, General; Blood Pressure; Female; Heart Rate; Humans; Intraoperative Complications; prevention & control; Laparoscopy; Male; Middle Aged; Monitoring, Intraoperative; Pheochromocytoma; physiopathology; surgery; Pneumoperitoneum, Artificial; adverse effects
- From: Chinese Journal of Surgery 2006;44(2):115-117
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the anesthetic management features of laparoscopic adrenalectomy for pheochromocytoma.
METHODSTwelve patients scheduled for laparoscopic adrenalectomy for pheochromocytoma under general anesthesia were allocated into group 1, while another 12 patients who received transabdominal adrenalectomy for pheochromocytoma under general anesthesia were selected as group 2. The hemodynamic changes and the postoperative recovery profiles between the two groups were compared.
RESULTSHemodynamic fluctuation occurred during carbon dioxide insufflation and tumor manipulation in group 1. However, there were no differences between the two groups. Duration of post operative recovery and hospital stay as well as requirement of analgesics in group 1 were significantly lower than those in group 2 (P < 0.05).
CONCLUSIONHemodynamic fluctuation still exists during laparoscopic adrenalectomy for pheochromacytoma. However, patients undergoing such surgical procedure recover faster as compared with open surgery.
